RADIOLOGIA最新文献

{"title":"Osteomielitis enfisematosa: una entidad rara y agresiva","authors":"I. Garrido Márquez ,&nbsp;Á. Moyano Portillo ,&nbsp;M.A. Acosta Martínez del Valle ,&nbsp;G. Rodríguez Madroñal ,&nbsp;E. Pérez Cuenca","doi":"10.1016/j.rx.2022.01.017","DOIUrl":"https://doi.org/10.1016/j.rx.2022.01.017","url":null,"abstract":"<div><p>Emphysematous osteomyelitis is an extremely rare entity consisting of the presence of intraosseous gas that can extend to the joints and adjacent soft tissues. It is an aggressive infectious process associated with high mortality, especially in patients with risk factors such as tumors or diabetes mellitus. Because early diagnosis and immediate treatment are crucial to prevent the potentially devastating consequences of this condition, imaging tests such as computed tomography play a fundamental role in its diagnosis and management. Therefore, radiologists must be aware that intraosseous gas is a rare but alarming sign that is pathognomonic of emphysematous osteomyelitis, especially in the axial skeleton.</p></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tratamiento de la tendinopatía calcificante del manguito de los rotadores mediante punción-aspiración ecoguiada","authors":"I. Sánchez Lite ,&nbsp;B. Toribio Calvo ,&nbsp;S. Osorio Aira ,&nbsp;C. Romera de Blas ,&nbsp;N. Andrés García","doi":"10.1016/j.rx.2021.07.005","DOIUrl":"https://doi.org/10.1016/j.rx.2021.07.005","url":null,"abstract":"<div><h3>Objective</h3><p>Calcific tendinopathy of the rotator cuff is a common condition caused by the deposition of calcium crystals in the tendons of the rotator cuff. This study aimed to analyze the effectiveness of ultrasound-guided puncture and aspiration in calcific tendinopathy of the should in 86 patients treated at our center and to determine the factors associated with poor prognosis after this treatment.</p></div><div><h3>Material and methods</h3><p>This retrospective descriptive study included 86 patients with calcific tendinopathy of the rotator cuff treated with ultrasound-guided puncture and aspiration between 2015 and 2019 for whom clinical and radiological variables were collected 1, 3, 6, and 12 months after the procedure.</p></div><div><h3>Results</h3><p>One year after treatment, 81.4% patients showed clinical improvement and 96.5% showed radiological improvement. Complications were observed in 34.9%; all complications were mild.</p></div><div><h3>Conclusions</h3><p>Ultrasound-guided puncture and aspiration is an effective treatment for calcific tendinopathy of the shoulder, resulting in a high rate of clinical and radiological improvement and a low rate of minor complications. This technique has additional advantages, such as interaction with the patient and the lack of ionizing radiation.</p></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cambios en recesos laterales y forámenes en segmentos degenerativos lumbares de pacientes sintomáticos estudiados mediante resonancia magnética en decúbito y bipedestación","authors":"M. García Isidro,&nbsp;A. Ferreiro Pérez,&nbsp;M.S. Fernández López-Peláez,&nbsp;M. Moeinvaziri,&nbsp;P. Fernández García","doi":"10.1016/j.rx.2021.01.003","DOIUrl":"https://doi.org/10.1016/j.rx.2021.01.003","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate differences in measurements of the lateral recesses and foramina in degenerative lumbar segments on MR images in symptomatic patients obtained with the patient standing versus lying down and to analyze the relationship between possible differences and patients’ symptoms.</p></div><div><h3>Material and Methods</h3><p>We studied 207 disc levels in 175 patients aged between 17 and 75 years (median: 47 years) with low back pain. All patients underwent MRI in the decubitus position with their legs extended, followed by MRI in the standing position. We calculated the difference in the measurements of the lateral recesses (in mm) and in the foramina (area in mm² and smallest diameter in mm) obtained in the two positions. To eliminate the effects of possible errors in measurement, we selected cases in which the difference between the measurements obtained in the two positions was ≥10%; we used Student's t-tests for paired samples to analyze the entire group and subgroups of patients according to age, sex, grade of disc degeneration, and postural predominance of symptoms.</p></div><div><h3>Results</h3><p>Overall, the measurements of the spaces were lower when patients were standing. For the lateral recesses, we observed differences ≥10% in 68 (33%) right recesses and in 65 (31.5%) left recesses; when patients were standing, decreases were much more common than increases (26% vs. 7%, respectively, on the right side and 24% vs. 7.5%, respectively, on the left side; p&lt;<!--> <!-->0.005). For the foramina, decreases in both the area and in the smallest diameter were also more common than increases when patients were standing: on the right side, areas decreased in 23% and increased in 4%, and smallest diameters decreased in 20% and increased 6%; on the left side, areas decreased in 24% and increased in 4%, and smallest diameters decreased in 17% and increased in 8% (p&lt;<!--> <!-->0.005). Considering the group of patients in whom the postural predominance of symptoms was known, we found significant differences in patients whose symptoms occurred predominantly or exclusively when standing, but not in the small group of patients whose symptoms occurred predominantly while lying. We found no differences between sexes in the changes in measurements of the recesses or foramina with standing. The differences between the measurements obtained in different positions were significant in patients aged<!--> <!-->&gt;40 years, but not in younger groups of patients. Differences in relation to the grade of disc degeneration were significant only in intermediate grades (groups 3-6 in the Griffith classification system).</p></div><div><h3>Conclusion</h3><p>MRI obtained with patients standing can show decreases in the lateral recesses and foramina related to the predominance of symptoms while standing, especially in patients aged<!--> <!-->&gt;40 years with Griffith disc degeneration grade 3 to 6, thus providing additional in","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La evaluación radiográfica de la morfología del surco intertubercular no pronostica cambios intraarticulares en el tendón de la porción larga del bíceps","authors":"A. Cardoso ,&nbsp;J.N. Ferreira ,&nbsp;R. Viegas ,&nbsp;P. Amaro ,&nbsp;P. Gamelas ,&nbsp;R. Alonso ,&nbsp;L. Pires","doi":"10.1016/j.rx.2020.09.015","DOIUrl":"https://doi.org/10.1016/j.rx.2020.09.015","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>This study aimed to examine the clinical utility of the radiographic evaluation of the bicipital groove in predicting long head of biceps tendon (LHBT) pathology.</p></div><div><h3>Material and Methods</h3><p>A prospective study was conducted, and sixty consecutive patients proposed to shoulder arthroscopic surgery were selected. Before surgery, a radiographic evaluation was performed with a supine and a Fisk radiograph. Most supine radiographs (&gt;75%) were non-interpretable and were excluded from the study. As some Fisk radiographs (26.7%) were also non-interpretable, that left 44 interpretable radiographs in the study. These were measured for medial opening angle, total opening angle, width and depth of the bicipital groove. The radiographic measurements and the presence of LHBT pathology, as assessed at arthroscopy, were correlated.</p></div><div><h3>Results</h3><p>Radiographic evaluation of the bicipital groove showed a mean medial opening angle of 53<!--> <!-->±<!--> <!-->15^o (23 – 90), a mean total opening angle of 80<!--> <!-->±<!--> <!-->26^o (30 – 135), a mean width of 10.3<!--> <!-->±<!--> <!-->2.5<!--> <!-->mm (6 – 19) and a mean depth of 4.1<!--> <!-->±<!--> <!-->1.5<!--> <!-->mm (1 – 8). Men had higher medial opening angle (60 vs 50^o, p<!--> <!-->=<!--> <!-->0.044) and wider grooves (11.9 vs 9.7<!--> <!-->mm, p<!--> <!-->=<!--> <!-->0.019). Twenty-five patients (56.8%) were found to have an abnormal LHBT. No correlation was found between the radiographic measurements and LHBT pathology. Only age was correlated with a LHBT lesion (61.8 vs 46.3 years, p &lt;<!--> <!-->0.001).</p></div><div><h3>Conclusions</h3><p>Our results show that there is no correlation between radiographic morphologic evaluation of the bicipital groove and LHBT pathology.</p></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Liposarcoma mixoide: características por resonancia magnética con correlación histológica","authors":"V.M. Encinas Tobajas ,&nbsp;C. Almeida González ,&nbsp;D. Marcilla ,&nbsp;M. Vallejo ,&nbsp;A. Cano Rodríguez ,&nbsp;J.I. Reina Sánchez de Movellán ,&nbsp;J.M. Morales Pérez","doi":"10.1016/j.rx.2021.01.005","DOIUrl":"https://doi.org/10.1016/j.rx.2021.01.005","url":null,"abstract":"<div><h3>Background and aims</h3><p>Myxoid liposarcoma is classified in the group of sarcomas with adipose differentiation, which is the second most common group of sarcomas. However, myxoid liposarcoma is not a homogeneous entity, because the behavior and clinical course of these tumors can vary widely. This study aimed to describe the magnetic resonance imaging (MRI) features of myxoid liposarcomas and to determine whether the MRI features are associated with the histologic grade and can differentiate between low-grade and high-grade tumors and thus help in clinical decision making.</p></div><div><h3>Material and methods</h3><p>We studied 36 patients with myxoid liposarcomas treated at our center between 2010 and 2018. We analyzed clinical variables (age, sex, and tumor site) and MRI features (size, depth, borders, fatty component, myxoid component, non-fatty / non-myxoid component, apparent diffusion coefficient (ADC), and type of enhancement after the administration of intravenous contrast material). We correlated the MRI features with the histologic grade and the percentage of round cells.</p></div><div><h3>Results</h3><p>In our series, patients with myxoid liposarcomas were mainly young adults (median age, 43 years). There were no differences between sexes; 97.2% were located in the lower limbs, 86.1% were deep, and 77.8% had well-defined borders. Of the 23 myxoid liposarcomas that contained no fat, 16 (69.6%) were high grade (p<!--> <!-->=<!--> <!-->0.01). All the tumors with a myxoid component of less than 25% were high grade (p<!--> <!-->=<!--> <!-->0.01); 83.3% of those with a non-fatty / non-myxoid component greater than 50% were high grade (p<!--> <!-->=<!--> <!-->0.03) and 61.5% had more than 5% round cells (p<!--> <!-->=<!--> <!-->0.01). Diffusion sequences were obtained in 14 of the 36 patients; ADC values were high (median, 2 x 10^-3 mm²/s), although there were no significant associations between low-grade and high-grade tumors. Contrast-enhanced images were available for 30 (83.3%) patients; 83.3% of the tumors with heterogeneous enhancement were high grade (p<!--> <!-->=<!--> <!-->0.01).</p></div><div><h3>Conclusions</h3><p>MRI can be useful for differentiating between high- and low-grade myxoid liposarcomas and can help in clinical decision making.</p></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rx.2021.01.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Avances en radiología musculoesquelética","authors":"F. Ruiz Santiago","doi":"10.1016/j.rx.2023.04.006","DOIUrl":"https://doi.org/10.1016/j.rx.2023.04.006","url":null,"abstract":"","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tumor de células granulares de partes blandas: hallazgos en resonancia magnética","authors":"G. Iglesias-Hidalgo ,&nbsp;A. Lopez-Maseda ,&nbsp;L. Zaldumbide-Dueñas ,&nbsp;B. Canteli-Padilla","doi":"10.1016/j.rx.2022.12.004","DOIUrl":"https://doi.org/10.1016/j.rx.2022.12.004","url":null,"abstract":"<div><p>Granular cell tumors are histologically unique neoplasms that often manifest as painless solitary nodules located in the dermis or submucosal tissue. In this article we analyze the radiologic features of this type of tumor in five patients by magnetic resonance imaging (MRI), analyzing morphologic and signal characteristics. MR imaging findings were similar to other publications and we demonstrate low ADC values in our series.</p></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ganglión en el túnel del tarso: ¿localización intra o extraneural?","authors":"J.J. Jover-Sánchez ,&nbsp;L. Cristóbal-Velasco ,&nbsp;E. Benza-Villarejo ,&nbsp;A.A. Maldonado-Morillo","doi":"10.1016/j.rx.2022.07.004","DOIUrl":"https://doi.org/10.1016/j.rx.2022.07.004","url":null,"abstract":"<div><p>Intraneural ganglion cysts are very uncommon lesions that are starting to be diagnosed thanks to the establishment of the articular theory to explain their pathogenesis and to the definition of their signs on magnetic resonance imaging (MRI). We present the case of a 59-year-old man with clinical findings suggestive of tarsal tunnel syndrome. MRI of the ankle and foot showed an intraneural ganglion cyst involving the posterior tibial nerve and its connection with the subtalar joint through an articular nerve branch. The appropriate interpretation of specific radiologic signs such as the “signet ring sign” enabled an appropriate preoperative diagnosis to be established, differentiating it from an extraneural lesion and facilitating the articular disconnection of the nerve branch during surgery.</p></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Actualización sobre el meningioma: correlación clínico-radiológica y radio-patológica","authors":"A. Navarro-Ballester ,&nbsp;M. Aleixandre-Barrachina ,&nbsp;S.F. Marco-Doménech","doi":"10.1016/j.rx.2023.02.003","DOIUrl":"https://doi.org/10.1016/j.rx.2023.02.003","url":null,"abstract":"<div><p>Meningiomas are tumors that originate in the arachnoid villi and are the most common non-glial neoplasm in the central nervous system. The clinical manifestations associated with meningioma depend, fundamentally, on its location. The location in the cerebral convexity is the most frequent, especially in the frontal lobes, manifesting with headache, motor disturbances, seizures and even neurocognitive disorders. There are 15 histologic subtypes of meningioma and three histologic grades. Within these, grades two and three have a worse prognosis and a higher rate of recurrence, as well as a radiological behavior that is generally more aggressive. Although there are some imaging features that can suggest a specific subtype, the definitive diagnosis will always require histological/molecular confirmation.</p></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50188534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seguridad del paciente en Resonancia Magnética","authors":"P. Fraga Rivas,&nbsp;J. de Miguel Criado,&nbsp;L. García del Salto Lorente,&nbsp;L. Gutiérrez Velasco,&nbsp;P. Quintana Valcarcel","doi":"10.1016/j.rx.2023.01.013","DOIUrl":"https://doi.org/10.1016/j.rx.2023.01.013","url":null,"abstract":"<div><p>Image acquisition involves the use of static magnetic fields, field gradients and radiofrequency waves. These elements make the MRI a different modality. More and more centers work with 3.0 T equipment that present higher risks for the patient, compared to those of 1.5 T.</p><p>Therefore, there is a need for updating for radiology staff that allows them to understand the risks and reduce them, since serious and even fatal incidents can occur.</p><p>The objective of this work is to present a review and update of the risks to which patients are subjected during the performance of a magnetic resonance imaging study.</p></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50188535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}